| NPI | 1891408365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE PATRICIA GOODEN-CLARKE Co Owner/Vice President 954-684-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |