| NPI | 1962002287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYTA HICKS-WILLIAMS CEO/Owner 850-356-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2022-12-14 |