| NPI | 1740688829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE WILSON Owner 727-641-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 3391562) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |