| NPI | 1497789424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA ELAINE SHOENFELT Member Manager 727-214-7079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 3027792) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |