| NPI | 1518775618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE LYNN NOVAK Msn, Ap RN, Pmhnp Bc, Fnp Bc 941-725-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-05-10 |