| NPI | 1689704694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN-JACQUES Lpn 407-296-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5147188) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |