NPI | 1740333244 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY WOLAN Controller 561-687-5753 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2007-01-19 |
Last Update Date | 2023-10-23 |