NPI | 1386265122 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDENIE MONDESIR Physician Assistant/Owner 954-973-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-05-22 |