| NPI | 1851349476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L VENDELAND Owner President 727-789-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |