| NPI | 1801285135 |
|---|---|
| Doing Business As | TIDEWELL HOSPICE |
| Entity Type | Organization |
| Authorized Contact | ALENA M VASHER Executive Assistant 941-552-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9169218) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |