| NPI | 1396366373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN LOPEZ Owner/Authorized Official 786-728-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |