| NPI | 1669242350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN BANKS Owner/Nurse Practitioner 954-387-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center, Health Services | |
| 261Q00000X Clinic/Center | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-09-26 |