| NPI | 1598941155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE M KELLER A RN P 352-385-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3371562) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-03-17 |