| NPI | 1366305567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN FORD Owner And Authorized Official 727-452-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |