NPI | 1699217075 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRLENE MIOT-DESMORNES Provider 954-395-8440 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9225787) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2025-10-08 |