| NPI | 1700450632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MOISE Doctor Of Nursing Practice 954-834-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251J00000X Nursing Care |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2021-05-15 |