| NPI | 1366804130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE KUPERSMITH President 561-400-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9217834) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |