| NPI | 1750893285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA L. WRIGHT Owner/President 727-244-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2810512) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |