| NPI | 1972256071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA D DAMERA Owner/Ap RN 239-362-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |