| NPI | 1841045416 |
|---|---|
| Former Legal Business Name | ABBA URGENT PRIMARY CARE AND TELEHEALTH |
| Entity Type | Organization |
| Authorized Contact | SONE A ITAMAN President 407-446-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-10-29 |