| NPI | 1629701792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN LOWE Owner/Provider 727-683-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-10-20 |