NPI | 1356680706 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRA MAZLIN President 561-866-7026 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1182592) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2013-02-05 |