| NPI | 1013213065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MARIE-TYNE DISANTO A RN P C 941-232-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9227132) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |