| NPI | 1912587825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA D DAMERA Ap RN 786-475-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-08-30 |