NPI | 1912881871 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE SELLEY MARTINCAK Owner, Practitioner 850-387-5111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |