| NPI | 1700027869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA IHNOT Owner 941-916-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2770822) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |