| NPI | 1962773549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CARROLL A RN P 352-351-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP283112) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |