| NPI | 1952009995 |
|---|---|
| Doing Business As | TAKE 2 MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MARISSA EARLY CEO 407-212-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-03-08 |