| NPI | 1821702663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY MARTINEZ CEO 352-949-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |