| NPI | 1508481862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUELLE CHASSAGNE Owner 954-770-7059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |