| NPI | 1417050824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T FIKERT Office Administrator 407-342-4384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: FL 3110002150) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-09-10 |