| NPI | 1043796626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK JOSEPH FUOCO Owner 504-495-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 128797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR N5521) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |