| NPI | 1154879443 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARTIN AKACHUKWU ESUZOR A RN P Rrovider 813-679-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3380082) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |