| NPI | 1528519253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY KIGER Manager 727-518-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL arnp9337786) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |