| NPI | 1831605146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERICHE FAMIUS LOUIS President 772-465-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9304174) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2021-09-30 |