| NPI | 1619263837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUREEN DOWNES Owner 239-677-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1350642) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-06-28 |