| NPI | 1194099572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANI V GUERRERO Physician Assistant 954-288-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106437) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |