| NPI | 1699161216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE AUSTIN Member/Nurse Practitioner 352-250-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02306) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2016-03-14 |