| NPI | 1649466384 |
|---|---|
| Doing Business As | HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | LUCILLE ANN VANDEVERE Nurse Practitioner 772-252-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP3283142) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2018-03-27 |