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 |