NPI | 1194563379 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA URSULA HERNANDEZ MORAN President 305-562-0802 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-07-19 |
Last Update Date | 2024-07-19 |