| NPI | 1811870678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARGEL RODRIGUEZ MEDEROS Owner 786-245-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |