| NPI | 1255725263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA CARRION Manager 786-286-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9265855) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |