NPI | 1275241093 |
---|---|
Entity Type | Organization |
Authorized Contact | OSMANI RAMIREZ Owner 786-315-0244 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-11-10 |
Last Update Date | 2025-06-03 |