| NPI | 1770466765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORLINA M JOHNSON CEO 561-250-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-08-29 |