| NPI | 1710539812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA EMILY ENGLISH Owner/Nurse Practitioner 850-430-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |