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 |