NPI | 1629447388 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVENIE J ROBBINS Owner 813-297-6326 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9321089) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2016-01-12 |