| NPI | 1417333949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY RZEPKA Owner/Mgr 941-870-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1592722) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2021-08-19 |