| NPI | 1356911770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHARRA KENYATTA BELFON Owner, Nurse Practitioner 786-412-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |