| NPI | 1225960669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMISELA FERNANDEZ CRUZ Authorized Official 786-718-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |