| NPI | 1922574045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE MARCIA BECKFORD Nurse Practitioner 352-217-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |