| NPI | 1366569790 |
|---|---|
| Former Legal Business Name | SAME |
| Entity Type | Organization |
| Authorized Contact | SAFIEH JAVID MAMASSANI Director 954-740-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL NP1563652) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-01-15 |