| NPI | 1427718048 |
|---|---|
| Other Name | INTHP - RIDORE |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |