| NPI | 1588312235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKETA DANYALLE SMITH Nures Practitioner 813-614-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-12-30 |