| NPI | 1548463599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY LISSORN MORGAN President 813-689-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2750432) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2017-07-28 |