| NPI | 1902089741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MEADOWS Vice President 727-507-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-12-16 |
| Last Update Date | 2008-08-12 |