NPI | 1578000477 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS ANDRES CASTILLO President/Owner 786-483-8381 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9350825) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2022-03-23 |