| NPI | 1124865571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY HAUSER Owner/CEO 941-223-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-11-14 |