| NPI | 1700051802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN A FANCY Partner F & G Professional Care 850-212-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN3192112) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |