NPI | 1619110640 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ZYLIS Owner 352-873-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 3064782) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3064662) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2023-01-18 |