| NPI | 1699649681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA VILLASUSO Owner 305-934-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |