NPI | 1730853722 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON CREECH Delegated Official 850-475-3726 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207QH0002X Family Medicine, Hospice and Palliative Medicine | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
2084N0400X Psychiatry & Neurology, Neurology | |
Enumeration Date | 2021-08-04 |
Last Update Date | 2021-08-10 |