| NPI | 1952917015 |
|---|---|
| Doing Business As | BONIFAY RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | HUY NGUYEN Chief Executive Officer 850-547-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-09-19 |