| NPI | 1629869086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIA BORRERO Psychiatric Nurse Practitioner 904-371-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-23 |