| NPI | 1487421673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHAMBERS Nurse Practitioner 941-626-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |