| NPI | 1821831553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSECLAIRE DARANG Family Nurse Practitioner 772-409-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |