| NPI | 1710255617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELLEN PULEO President / CEO 239-207-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: FL RN9190053) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |