| NPI | 1871179440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDENE PATRICE HARRISON Family Nurse Practitioner 813-280-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-05-29 |