| NPI | 1518564699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA LORGEAT Dnp, Ap RN 863-250-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-09-15 |