| NPI | 1891668455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SODNA PAUL Psychiatric Mental Nurse Practition 786-282-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |