| NPI | 1447824461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERDA M WILLIAMS Administrator 954-966-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 251S00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2022-11-10 |