| NPI | 1962927723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY CRONK Owner 813-833-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9305606) |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2022-07-21 |