| NPI | 1356234504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY OTERO Pd 954-638-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |