| NPI | 1366401879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE GEARY Office Manager 727-781-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |