NPI | 1154780450 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE BOWMAN President 561-719-2223 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9214512) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2019-03-01 |