| NPI | 1750826301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS K MURPHY Physician 727-447-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: FL ME54484) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |