| NPI | 1295664761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GOMEZ Nurse Practitioner 786-395-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-05-19 |