| NPI | 1285514737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNA FIORELLA FERNANDEZ CEO 954-600-8268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-10-09 |