| NPI | 1578554572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE SANDERS Practice Manager 352-265-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2022-05-06 |