| NPI | 1003287988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M LARSON President 239-265-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9227059) |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2015-10-17 |