| NPI | 1841803210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE WATSON Nurse Practitioner/Owner 813-714-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-08-29 |