| NPI | 1679449847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRICARLY LUCIA MARIA BRACHO MORAN Family Nurse Practitioner Owner 407-675-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |