| NPI | 1720424021 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GARY J MERLINO President 305-604-2888  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9257323)  | 
| Enumeration Date | 2013-05-14 | 
| Last Update Date | 2013-05-14 |