| 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 |