| NPI | 1619741105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MERRITT Senior Manager, Credentialing 813-596-5726 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2024-04-29 |