| NPI | 1730907460 |
|---|---|
| Former Legal Business Name | SPECIALIST CONSULTATION NETWORK LLC |
| Entity Type | Organization |
| Authorized Contact | WINSTON GUEVARA A RN P 786-200-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |