| NPI | 1669539508 |
|---|---|
| Former Legal Business Name | THE LITTLE CLINIC OF GEORGIA LLC |
| Entity Type | Organization |
| Authorized Contact | LISA LOSCALZO President 813-907-2661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-05-23 |