| NPI | 1689119174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE HARVEY A RN P 727-218-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-01-09 |