| NPI | 1700730850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTINE JEANLAURENT Clinical Director 321-399-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |