| NPI | 1831459585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BUSA REALISTA A RN P/Owner 407-616-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9223946) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |