| 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 |