| NPI | 1558947499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L BUCKALEW President/Owner 407-777-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-04-07 |