| NPI | 1497457964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FILER Credentialing Manager 561-312-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-05-16 |