NPI | 1023864147 |
---|---|
Entity Type | Organization |
Authorized Contact | DUELLYN PANDIS Director Of Clinical Practice 813-396-0234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-04-29 |