| NPI | 1306244520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA ALESSANDRO Owner 941-629-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL PA9108212) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-04-20 |