| NPI | 1942023676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA TEJADA Nurse Practitioner 786-245-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-25 |