| NPI | 1700440856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SLEPIN Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |