| NPI | 1578299715 |
|---|---|
| Doing Business As | FACES OF SOUTH TAMPA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PULEO Owner & Practice Manager 813-477-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |