NPI | 1023416062 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMEIKA ALLEN Owner/Director 954-609-3523 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9228616) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2014-12-08 |