| NPI | 1013204577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M WOMACK CEO 352-293-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207RS0012X Internal Medicine Sleep Medicine | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-12-07 |