| NPI | 1255821138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE POE A RN P 407-405-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9316017) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |