Salt and Ivy Gulf LLC

NPI #1073372124 in Port St Joe, Florida

Provider Information

NPI Number: 1073372124
Entity Type: Organization
Organization Name: Salt and Ivy Gulf LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 18, 2024
Last Updated: Mar 18, 2024

Practice Location

Address: 101 GOOD MORNING ST STE 109B
City: Port St Joe
State: Florida
ZIP Code: 32456-4765
Phone: (850) 357-8192

Authorized Official

Name: MRS. BRITTANY GARDNER MCCROAN, APRN-C
Title: NURSE PRACTITIONER/ OWNER
Phone: (850) 357-8192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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