| NPI | 1881031649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN J KASSINGER CEO 727-373-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |