| NPI | 1972123628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCKEL TAYLOR Family Nurse Practitioner 239-645-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |