| NPI | 1881464683 |
|---|---|
| Doing Business As | ADVANCED CARE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | BETHSAIDA LOPEZ GILLUM Vice President 850-728-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |