| NPI | 1528257276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER T DEWHURST President 786-573-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3124292) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |