| NPI | 1588459226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAE MARTIN Chief Executive Officer 813-585-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-08-27 |