| NPI | 1063235844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA LEO President 954-579-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |