| NPI | 1437779824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO CAMPBELL Owner 954-240-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |