| NPI | 1538446414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ELAINE FFRENCH-ROSE CEO 813-635-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2602032) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |