| NPI | 1790127322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE L MITCHELL Owner 561-748-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2831402) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-02-19 |