NPI | 1093249724 |
---|---|
Doing Business As | BESPOKE HEALTH |
Entity Type | Organization |
Authorized Contact | PAUL BOND Managing Member 386-986-6469 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2730962) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-19 |