NPI | 1073993374 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR M STEWART Nurse Practitioner/ Owner 239-455-1882 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9208301) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2015-06-02 |