| NPI | 1669440871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LONOGAN LUCAS Registered Nurse 850-487-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL RN9035099) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-07-21 |