| NPI | 1750748414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA C CLYMAN Nurse Practitioner 786-514-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9299630) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |