| NPI | 1285708396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE JOAN CLARKE Pres 813-741-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME25434) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98642) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3184902) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-05-20 |