| NPI | 1770603128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER T DEWHURST Owner 305-538-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 3124292) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |