| NPI | 1598122558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE MASPONS President 305-456-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-05-26 |