| NPI | 1811425002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT RAWSON President 850-306-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-05-27 |