| NPI | 1750116984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS BARWICK CEO 850-672-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |