| NPI | 1104240381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA BENJAMIN Nurse Practitioner 813-215-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3073902) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2015-10-01 |