| NPI | 1003507203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURPREET KAUR Nurse Practitioner 941-312-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |