| NPI | 1184469934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE CLARKE Registered Agent 561-331-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-10-31 |