| NPI | 1760867410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FALDEN Ambr 954-918-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2113432) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-12-30 |