| NPI | 1972809374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAVIS-BRASWELL President 813-361-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3204832) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |