| NPI | 1548969280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R OLIVE, JR Managing Member 727-424-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 202K00000X | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-11-21 |