| NPI | 1245582824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R FAGAN President 305-246-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP647292) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |