| NPI | 1669298873 |
|---|---|
| Doing Business As | PRIDE FAMILY CARE & WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARIAN RAMIREZ BAUTISTA-DE-LEON Provider 561-309-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |