| NPI | 1902094394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE JEFFERSON Presidient 407-625-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 80332-2) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-25 |