| NPI | 1578135489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE SHANTELLE BRYANT Owner/Pediatric Nurse Practitioner 813-551-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |