| NPI | 1730304932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY DANIEL THOMAS A RN P 954-389-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9194742) |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2008-07-15 |