| NPI | 1407379142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELINA PARADIS Vice President Of Operations 321-591-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL arnp9202808) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |