| NPI | 1619340510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDENIE MONDESIR Physician Assistant 954-560-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107157) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |