| NPI | 1699161562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIESE WILLIAMS Registered Agent 754-245-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2886402) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |