| NPI | 1619936374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ELSIE DEFRANCESCO Vice President 772-475-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 1356112) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-08-07 |