NPI | 1487450888 |
---|---|
Doing Business As | SAINT TERESA OF AVILA HEALTHCARE |
Entity Type | Organization |
Authorized Contact | DANIELA ANDREINA IBARRA Owner/Manager 561-719-8079 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2025-02-25 |
Last Update Date | 2025-04-08 |