| NPI | 1649618208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S FRASURE Owner 407-205-4947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9173475) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-02-09 |