| NPI | 1841732971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCCORMACK Mgr 850-207-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3151122) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2018-05-08 |