| NPI | 1063924876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN FERNANDEZ President 786-683-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9318028) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-09 |