| NPI | 1265737399 |
|---|---|
| Other Name | NO |
| Entity Type | Organization |
| Authorized Contact | MORAIMA RODRIGUEZ Nurse Practitioner 786-417-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ARNP9267311) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |