NPI | 1538136817 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE A. WIGLE President 352-589-9661 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 2834222) |
Enumeration Date | 2006-03-04 |
Last Update Date | 2009-12-29 |