| NPI | 1598303208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MATTHEW VIERA-BRIGGS Nurse Practitioner 407-480-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QP2300X Clinic/Center Primary Care | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LC1500X Nurse Practitioner Community Health | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2024-03-12 |