NPI | 1649884594 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH DIANE BEASLEY LUCE Founder And Provider 941-253-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
2083B0002X Preventive Medicine, Obesity Medicine | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
363L00000X Nurse Practitioner | |
363LC1500X Nurse Practitioner, Community Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |