Hart Diversified Resources, INC.
Nurse Practitioner, Family in Williston, FL. Organization (NPI-2).
NPI number1942571997
StatusActive
Last updated in NPPESJan 23, 2012
Details
- NPI
- 1942571997
- Entity type
- Organization (NPI-2)
- Legal business name
- Hart Diversified Resources, INC.
- Organization subpart
- No
- Enumeration date
- Jan 23, 2012
- Last updated
- Jan 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 9312614 | FL | Yes |
Practice location
125 Sw 7th StWilliston, FL 32696-2403
Phone 615-848-8422 · Fax 352-419-6250
Mailing address
6746 E Haynes LnInverness, FL 34452-7616
Phone 615-848-8422 · Fax 352-419-6250
Authorized official
Laura D Hart
President
6158488422
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