| NPI | 1639759988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORIQUIC J DUNKLEY Nurse Practitioner 813-297-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |