| NPI | 1891122552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DENISE BACCHUS Owner 786-423-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9185531) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |