| NPI | 1962596940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH EGGERT Vice President, Revenue Management 407-237-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 364SP1700X Clinical Nurse Specialist, Perinatal | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |