| NPI | 1447019526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUEA NAYOUKA A ARCHER Mgr/Owner 305-333-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-12-30 |