| NPI | 1295369833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL MARGARITA RAIKES Nurse Practitioner(Owner) 954-665-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-02-22 |