| NPI | 1730443821 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LOREN HAYES VP Clinical Operations 954-923-7440 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1966952) | 
| Enumeration Date | 2012-07-03 | 
| Last Update Date | 2012-07-03 |