| NPI | 1578372900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLIN J JURADO CARBALLO Owner 786-230-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2026-02-06 |