NPI | 1033477567 |
---|---|
Entity Type | Organization |
Authorized Contact | IRA D LEE President 386-755-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3091702) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2012-05-03 |