NPI | 1679345706 |
---|---|
Former Legal Business Name | EDELIS MORALES |
Entity Type | Organization |
Authorized Contact | EDELIS MORALES President 786-304-4669 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-26 |