| NPI | 1588527089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANELA CIVIL President 561-305-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-22 |