| NPI | 1023361441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA REYNOLDS Owner 727-244-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2736202) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2013-01-29 |