| NPI | 1760357719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINIA KRAEMER Family Nurse Practitioner 904-495-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |