| NPI | 1336865682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIROLYS LORENZO President 786-479-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-10-24 |