| NPI | 1861901522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FERNANDEZ Manager 561-398-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11703) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |