| NPI | 1275030116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ MARINA RACEDEO President 305-467-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9244232) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |