| NPI | 1831669456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKEETER THOMPSON-NEMBHARD Owner 407-732-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 163WP0000X Registered Nurse, Pain Management | |
| 163WW0000X Registered Nurse, Wound Care | |
| 207R00000X Internal Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 251E00000X Home Health | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-03-23 |