| NPI | 1174140438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORITA SHERELLE JOHNSON Owner Nurse Practitioner 305-492-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |