NPI | 1639823040 |
---|---|
Doing Business As | STORMYS PRIMARY CARE & WELLNESS |
Entity Type | Organization |
Authorized Contact | STORMY GALE MCBRIDE Ap RN/Owner 305-934-8667 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2022-02-05 |
Last Update Date | 2022-04-04 |