| NPI | 1558808774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY LON RATNER Family Nurse Practitioner 386-931-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2843582) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-01-13 |