| NPI | 1952186561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANDRO CANCIO President 305-204-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-03-28 |