| NPI | 1861118564 |
|---|---|
| Doing Business As | FREEPORT PRIMARY & IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | TERRY WILSON Office Manager 850-865-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-12-19 |