| NPI | 1922752500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANE CYRIAQUE Owner 305-979-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-08-25 |