| NPI | 1689475451 |
|---|---|
| Doing Business As | THE MOM NP |
| Entity Type | Organization |
| Authorized Contact | LISA E O'NEILL Owner 850-990-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |