Organization Name: | A FUNCTIONAL APPROACH, PA |
NPI Number: | 1013348341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLEY TEIXEIRA (CEO) |
Mailing Address: | 817 Douglas Ave Ste 179 Altamonte Springs |
State: | FL US |
Postal Code: | 327145200 |
Phone Number: | 4073315050 |
Fax Number: | 4073315189 |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP 9221364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |