| NPI | 1548672322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA JACKSON President 786-624-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3326732) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |