NPI | 1396584454 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE VINCUR Practice Manager 561-815-2427 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2024-05-20 |
Last Update Date | 2024-05-20 |