| NPI | 1629516398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA I JOHNSON Office Manager 407-271-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2683822) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |