| NPI | 1760246086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULLIE SWEETSER Member 941-363-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |