| NPI | 1982360244 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | DUELLYN PANDIS Executive Director 813-969-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |