| NPI | 1841728698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHUNYA SHAVON CLARK CEO 352-870-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9214368) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-03-01 |