NPI | 1477282978 |
---|---|
Entity Type | Organization |
Authorized Contact | YANET BONET GONGORA President 305-219-3240 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-06-09 |
Last Update Date | 2022-09-15 |