| NPI | 1306413927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNE PIERRE Business Partner 407-860-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |