NPI | 1922320662 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA FREEMAN President 954-530-9591 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81857) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS11490) |
363LF0000X Nurse Practitioner, Family (Licence: FL 2904542) | |
Enumeration Date | 2010-02-23 |
Last Update Date | 2019-05-07 |