| NPI | 1336735786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ROMO Ap RN 561-634-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2022-12-07 |