NPI | 1538578828 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE RAYE CROSS Family Nurse Practitioner 727-804-6766 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9309591) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2014-12-03 |