| NPI | 1386041234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D LAKES Senior Paralegal 954-446-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2025-07-14 |