| NPI | 1457083727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINE SENATUS Owner 561-908-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-09-06 |