| NPI | 1073147674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RAMSES PADRON President 561-347-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |