| NPI | 1760136287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINA RAMAANU-PORTER AO 352-209-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 251J00000X Nursing Care |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-12-28 |