| NPI | 1275139412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEIKA DAVIS Director 954-609-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health |
| 363LX0106X Nurse Practitioner Occupational Health | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |