| NPI | 1225612567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENIDA DESIR Owner 305-418-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2022-06-07 |