| NPI | 1013110295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-08-12 |