| NPI | 1326799537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNETTE E PATTERSON-LEWIS CEO 305-879-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-04-08 |