Organization
HNMJTS2021 PLLC
Active
Other names
Defuniak All-Care Walkin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JETER FNP (OWNER)
(850) 520-5357
Entity
Organization
Contact information
Practice address
1424 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3401
(509) 201-7008
(850) 520-5357
Mailing address
1424 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3401
(850) 920-1700
(850) 520-5357
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
12/20/2023
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