| NPI | 1023844909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYRIA A BUCHANAN Nurse Practitioner 813-838-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |