| NPI | 1780044982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R CHARLOT Medical Director 305-603-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-06-29 |