| NPI | 1073105227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYDA C. LABISTE Owner 954-470-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2022-05-05 |