NPI | 1821083627 |
---|---|
Former Legal Business Name | SANDEL'S PRIMARY HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | SANDRA ELAINE FFRENCH-ROSE CEO 813-635-9611 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2602032) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME68819) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2011-09-12 |