| NPI | 1114756723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETA JOLLIAN WATKINS Advanced Practice Registered Nurse 813-358-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |