| NPI | 1366980641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE E BAXTER Business Manager 727-845-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3213962) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |