NPI | 1356940431 |
---|---|
Entity Type | Organization |
Authorized Contact | KATINA P DAVIS-KENNEDY Owner 954-231-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2020-10-20 |
Last Update Date | 2023-08-23 |