| NPI | 1417187261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH WADHWA Office Director 954-562-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9165576) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 14086) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2020-08-16 |