| NPI | 1942929633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FLOYD Owner/Provider 863-797-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |