| NPI | 1821591447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROGERS President 305-783-3677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2022-09-28 |