| NPI | 1033967997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA AULL Owner 727-798-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-07-03 |