| Organization Name: | MARYBETH NAYFIELD |
| NPI Number: | 1063484665 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARYBETH H. NAYFIELD (ADMINISTRATOR) |
| Mailing Address: | 3700 W Sovereign Path Lecanto |
| State: | FL US |
| Postal Code: | 344618071 |
| Phone Number: | 3525270068 |
| Fax Number: | 3526207565 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN860202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |