| NPI | 1881093169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MAE FRALICKER President 904-534-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP 770742) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |