| NPI | 1326828666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERNA CONSTANT Owner 954-610-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |