| NPI | 1063996023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULRICA GARCIA Np 305-415-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-01-02 |