| NPI | 1417769415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI N EXANTUS Operations Director 786-522-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-25 |
| Last Update Date | 2025-10-07 |