| NPI | 1659008324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI MENA Mbr 305-216-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171M00000X Case Manager/Care Coordinator | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |