| NPI | 1437932985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASIAI WILLIS JONES Owner/Authorized Official 772-278-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-10-27 |