| NPI | 1932974367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIRAH BONABY CEO 561-714-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |