| NPI | 1801297387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE MILLER A RN P 904-742-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL RN9294028) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |