| NPI | 1275391724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GELDERT Owner / Provider 407-342-8092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |