| NPI | 1881251288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE RODRIGUEZ Np C/Nurse Practitioner 813-956-5020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-02-02 |