| NPI | 1275344251 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NIKELSON PIERRE Psychiatric Nurse Practitioner 786-339-2528 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2025-01-17 | 
| Last Update Date | 2025-01-17 |