| NPI | 1740884485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT GOLDWIRE Autonomous Nurse Practitioner 954-681-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |