| NPI | 1548782592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVID MORRILL Nurse Practitioner 813-362-6816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9343749) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |