| NPI | 1356289805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BLAIN-MAIZA Authorized Official 786-383-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-03-24 |