| NPI | 1922892801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH STONEBRAKER Family Nurse Practitioner 239-699-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |