| NPI | 1386916062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDWARD MALY Managing Member 352-593-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP912712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3301752) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |