| NPI | 1154781250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L CZOP President 727-458-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL Arnp9258136) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2017-04-19 |