| NPI | 1255153342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO MARQUEZ PAYNE CEO 786-315-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |