| NPI | 1952298747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KORE DARLINGTON Owner 321-313-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-12-02 |