| NPI | 1982346326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALI MADDIPATI Owner 850-526-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |