| NPI | 1659590511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA LEAN HAZELWOOD Owner Nurse Practitioner 813-486-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3233312) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |