| NPI | 1114169141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY HENAO President 305-490-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9219002) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |