| NPI | 1679684393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA CONTRERAS Nurse Practitioner 3055-858-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL 1320812) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |