| NPI | 1851814495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESIA D ODUMS Owner 727-365-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9196935) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-27 |