| NPI | 1770824534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY KYLE BOW President 407-985-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME 110633) |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2021-04-22 |