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 |