| NPI | 1013343193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE E DAVIS President 727-364-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL NP3403642) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-24 |