NPI | 1588490213 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA ADRIENE THOMPSON Founder 352-226-9338 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-09-10 |
Last Update Date | 2024-09-10 |