| NPI | 1083793046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIUS N. GODWIN Co Owner 863-602-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL arnp1921112) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-01-04 |