| NPI | 1225887136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI H KRUSZKA Manager/Family Nurse Practitioner 954-288-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |