| NPI | 1316320591 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | ANGELA D ENGRAM President 561-899-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |