NPI | 1336901024 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE W BRUMLEY Primary Care Provider 561-462-0622 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-05-06 |