NPI | 1407226277 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JOSE TRABANCO Nurse Practitioner/Owner 305-301-3693 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9337727) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9337727) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9337727) | |
Enumeration Date | 2015-10-05 |
Last Update Date | 2021-12-24 |