| NPI | 1285230185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS L ROBINSON Psychiatric Nurse Practitioner 863-399-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2023-08-22 |