NPI | 1730288846 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE MARIE ALBERT President 772-713-1228 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1039282) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2019-02-04 |