| NPI | 1598357733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARANEISHA R BURGESS Owner/ Nurse Practitioner 561-602-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |