| NPI | 1740850999 |
|---|---|
| Doing Business As | GRACE FAMILY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | THERESE M. HULME Owner 813-607-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |