| NPI | 1740562057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI SERMAN President 904-874-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |