| NPI | 1740630094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GAIRALA Manager 954-227-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2076412) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |