| NPI | 1750730024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BOSTON Owner 407-846-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9244881) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-09-06 |