| NPI | 1144895988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ANTOINETTE BAKER President 954-599-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |