| NPI | 1720891674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE AYALA Owner 786-301-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |