| NPI | 1346212743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE COLE Owner 407-895-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |