NPI | 1669265815 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE CORBO Ap RN, Owner 786-226-2679 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QE0002X Clinic/Center, Emergency Care | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QP3300X Clinic/Center, Pain | |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-08-14 |