| NPI | 1336738608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE JENKINS Owner 561-801-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2025-04-16 |