| NPI | 1538040977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDLAIRE THERESA CHARLOTIN Owner/Managing 954-909-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2026-04-02 |