| NPI | 1093191454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA E BEAN Family Nurse Practioner 407-414-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL L15000123427) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |