| NPI | 1174069173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNON DUNBAR Authorized Rep 813-574-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9288674) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2022-06-20 |