| NPI | 1174092001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON PAULETTE JOHNSON-HYATT Owner Of Entity 954-783-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2019-10-01 |