NPI | 1174573257 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE MRAZ Owner 407-381-4395 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1204432) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2007-10-04 |