NPI | 1437208402 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL MARIE SADLER Owner 813-961-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1320912) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 416522) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2012-09-11 |