| NPI | 1225147325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MASON President 239-403-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2879332) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |