| NPI | 1063484665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH H. NAYFIELD Administrator 352-527-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN860202) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-10-31 |