| NPI | 1265192926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SANCHEZ Owner 407-415-3871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2024-10-01 |