| NPI | 1013789718 |
|---|---|
| Doing Business As | NP ON DUTY LLC |
| Entity Type | Organization |
| Authorized Contact | LEONNE M DERAVINE Owner 813-278-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-03-29 |