| NPI | 1689367385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS CHEVEREZ NEGRON Nurse Practitioner 407-587-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-07-31 |