| NPI | 1699640961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA VALLEE Administrator 407-305-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |