| NPI | 1659143451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENI HORNE Owner 813-728-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-30 |