| NPI | 1710515564 |
|---|---|
| Doing Business As | PCP 1ST |
| Entity Type | Organization |
| Authorized Contact | YEENY GONZALEZ President 954-803-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |