| NPI | 1962122549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO V FERNANDEZ Psychiatric Nurse Practitioner 239-851-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |