NPI | 1487537627 |
---|---|
Doing Business As | FIREBIRD VITALITY |
Entity Type | Organization |
Authorized Contact | JENNIFER HEWITT COO 727-600-3923 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-07-28 |