| NPI | 1255039087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDRA JOLYN MILLER Family Nurse Practitioner 727-478-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |