| NPI | 1578954996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUETEL OSTERVAL President/CEO 772-233-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center Community Health | |
| 261QG0250X Clinic/Center Genetics | |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 364SH1100X Clinical Nurse Specialist Holistic | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2023-09-21 |