NPI | 1235674441 |
---|---|
Entity Type | Organization |
Authorized Contact | LUZ SCHELMETYHENRIQUEZ AO 772-834-6696 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP3333482) |
Enumeration Date | 2016-12-23 |
Last Update Date | 2024-05-13 |