NPI | 1326237850 |
---|---|
Doing Business As | ABBEY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JAN DENICE PHELPS Owner 813-931-9094 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1851392) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2011-05-17 |