NPI | 1144078965 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE VINCUR Practice Manager 561-815-2427 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
363LG0600X Nurse Practitioner, Gerontology | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2024-05-07 |
Last Update Date | 2024-05-07 |