| NPI | 1265612709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DANIEL THOMASON Ap RN 954-227-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9176643) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2021-04-13 |