| NPI | 1861127425 |
|---|---|
| Doing Business As | THE LIGHTED PATH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DYKES Owner 850-849-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |