| NPI | 1679589428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FOUNTAIN President 850-623-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-05-16 |