| NPI | 1497213755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ODAZIE Fnp 954-496-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-03-20 |