| NPI | 1184404451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MARINO Manager 772-919-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-04 |