| NPI | 1558666750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ROBERTS Executive Director 305-294-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2022-01-17 |