NPI | 1104242783 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA LYNN PRATT Ap RN/Owner 561-332-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9379549) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.279615-COA1) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2024-01-03 |