| NPI | 1063656155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGDALIS ROLDAN CHRISTEN President 954-861-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ARNP1737192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP1737192) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |