| NPI | 1508017005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. DENNIS Executive Director 407-671-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP331552) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2011-08-08 |