| 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 |