| NPI | 1548056633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVES CHARLES Manager 954-756-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |