| NPI | 1124612817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE GUZMAN Owner 813-389-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-08-30 |