| NPI | 1407795875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY PATERSON Managing Member 727-255-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-06-24 |