| NPI | 1770463879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JARQUIN Financial Controller 954-651-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2026-05-29 |