| NPI | 1801183397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN O'HARA Owner 352-250-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP2152202) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-08-29 |