| NPI | 1750776811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDIVINA VIGIL President 786-312-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9229298) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2016-02-25 |