NPI | 1407349665 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA BRYANT Family Nurse Practitioner 772-267-0516 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9338409) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2019-12-16 |