| NPI | 1376269449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE PAULA TONY Owner/Authorized Official 954-832-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |