| NPI | 1891662516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIAD AMIR YOUSSEF CEO 904-877-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |