| NPI | 1073990578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA R MULET-HAM President 305-244-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ARNP9252211) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9252211) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |