| NPI | 1487236030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PATINO Mgr 954-790-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |