NPI | 1649611377 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA DAWN MARTIN A RN P/Owner 727-272-1844 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2013-07-10 |
Last Update Date | 2024-08-03 |