| NPI | 1992289490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE D. STEWART President 813-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-08-09 |