| NPI | 1477127090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY-ANN S WELLINGTON Nurse Practitioner 561-254-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |