| NPI | 1003577347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIKA PURKIS President 727-510-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2023-09-30 |