| NPI | 1770316333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDIA L WHITE Owner/ Nurse Practitioner 813-296-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |