| NPI | 1194325969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANNA WALKER Registered Agent 352-223-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-11-01 |