| NPI | 1801349121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENISE DANDA Medical Director 786-201-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ARNP9335724) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-06-13 |