| NPI | 1770239808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE THOMAS-BOLDEN Nurse Practitioner/Employee 727-471-6372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |