| NPI | 1699498006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE ROGERS CEO 239-961-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |