| NPI | 1588955751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KONSKER President 561-300-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 2783392) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |