| NPI | 1558060525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINA LUCIA LABADESSA Compliance & Contracts Manager 407-605-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |