| NPI | 1982300620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY LEONARDO President 407-908-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-24 |