| NPI | 1093129587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE VICKERS Acounts And Contract Manager 407-846-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP937452) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |