| NPI | 1114109972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L TRUELOVE Owner/President 941-400-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9203742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9203742) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2016-05-26 |