| NPI | 1467676437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M SANDRA DAVANZO MBR President 727-465-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 1740872) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |