| NPI | 1285898445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FOWLER COO 561-472-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL 602568) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 251S00000X | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-05-06 |