| NPI | 1659168516 |
|---|---|
| Doing Business As | DREAM PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TATIANNA MILES Credentialing Specialist 904-868-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-30 |