| NPI | 1396289260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE HIRSH Owner 941-929-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9392019) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2024-08-29 |