| NPI | 1740002898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY LEDEE KRAUSE Owner, Provider 813-807-5269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |