| NPI | 1912529116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MCKENZIE Authorized Official 850-866-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2022-10-26 |