| NPI | 1649728577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE DAWNE DECKER Nurse Practitioner/Owner 850-459-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT APRN 100952) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |