| NPI | 1053715888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COMERFORD President 941-323-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9232674) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |