| NPI | 1639488653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L MCDONALD RN Fa 850-217-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 769982) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2010-09-26 |