NPI | 1568133460 |
---|---|
Entity Type | Organization |
Authorized Contact | NELSON NGUYEN Owner 352-472-2275 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2021-09-22 |
Last Update Date | 2021-09-22 |