| NPI | 1982401253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA I HANLEY Owner 352-457-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-09-18 |