| NPI | 1609035773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ROUX Family Psychiatric Nurse Practition 941-379-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9223141) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-16 |