| NPI | 1306544309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C GERMAN Managing Member 941-615-7961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-04-19 |