| NPI | 1508486291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HYLTON Owner 352-388-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2021-12-30 |