| NPI | 1699640961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH UGARTE Manager 407-305-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2026-01-26 |