| NPI | 1528626587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHUNDA BLACKSHEAR Nurse Practitioner 561-667-9216 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-09-13 |