| NPI | 1891370763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTEGA OJUKWU President/CEO 305-978-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-17 |