| NPI | 1306210505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R PHILLIPS Sole Owner 813-523-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9230170) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2016-03-30 |