| NPI | 1205029444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA KEYES Regestered Nurse First Assistant 954-474-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN3409512) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |