NPI | 1396431052 |
---|---|
Entity Type | Organization |
Authorized Contact | ROMMEL PARAJON Owner 305-582-8933 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-04-14 |
Last Update Date | 2025-09-08 |