| NPI | 1073392064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUELA CLAUDE PIERRE-CHARLES Ownner 813-534-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2026-02-15 |