NPI | 1548216641 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM THOMAS NORDIN Owner 407-849-6359 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN3101922) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-09-11 |