NPI | 1841975984 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL CABRERA Office Manager 786-860-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QP2300X Clinic/Center Primary Care | |
363LF0000X Nurse Practitioner Family | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2023-06-16 |
Last Update Date | 2024-08-27 |