| NPI | 1710365051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTI LABATTE-DENEAU Nurse Practitioner 772-333-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9263802) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2017-10-02 |