| NPI | 1578717641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LYNN FLAHERTY President 407-716-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL 1027292) |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2008-11-15 |