| NPI | 1447945753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIJEM GUZMAN Co Owner 321-442-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |