| NPI | 1891440830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERN A LEWIS ANDERSON Nurse Practitioner 954-795-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |