| NPI | 1750890455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY J TABOR BEMLER Manager 813-339-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9287498) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |