| NPI | 1174861330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W. HOUSTON PITTS Nurse Practi CIO Ner 407-656-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP479762) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2014-03-23 |