| NPI | 1528706991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L RISOLDI Member 727-249-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |