| NPI | 1376363291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MERKOW Business Manager 727-800-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WW0000X Registered Nurse, Wound Care | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |