| NPI | 1114437910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELLE FAVEUR Msn Fnp Bc, A RN P 561-396-3357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9315714) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL 9315714) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |