| NPI | 1376359315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVELYNE JOSEPH Psychiatric Nurse Practitioner 407-309-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |