| NPI | 1598427395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKISHA RASHIM LAWSON Nurse Practitioner/Owner 813-735-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2023-09-06 |