| NPI | 1386929560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN WORDLY SMITH Owner 786-319-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9164257) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |