| NPI | 1699640102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NSIAH Nurse Practitioner 407-305-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-17 |