| NPI | 1023829298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIDLAINE RICHARD-PEAN Nurse Practitioner 786-390-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |