NPI | 1205130457 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL CHRISTINA HAUKOOS President 352-359-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP3084852) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |