| NPI | 1255824355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OMOBASUYI President 305-898-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2870242) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |