| NPI | 1518676329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA A EDELSTEIN-SNIDER Owner 321-508-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-11-18 |