| NPI | 1982789475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA KRISHNA Nurse Practitioner 239-566-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP 9207692) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-04-19 |