| NPI | 1659246684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA OWUSU Owner/Advanced Practice Registered 850-284-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-16 |