| NPI | 1215190459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI SHANNON GRISSO President 561-842-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3357122) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2011-11-04 |