| NPI | 1962739813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL S HALL Nurse Practitioner 850-529-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3248772) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2016-02-04 |