NPI | 1750752424 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH WALKER Owner/Nurse Practitioner 239-829-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP 2617642) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2617642) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-10-07 |