NPI | 1194411983 |
---|---|
Doing Business As | REGEN GROUP |
Entity Type | Organization |
Authorized Contact | KARLA MIODUCHOSKI Ap RN/Owner 954-203-8795 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |