| NPI | 1487819942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MICHAEL FREEMAN President 305-534-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2987482) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2987482) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |