| NPI | 1801369418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA C TAPPER Ap RN /CEO 813-324-1604 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-08-14 |