| NPI | 1891489654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HARDWICK Owner 727-328-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-04-19 |