| NPI | 1952779001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA VELEZ President 386-453-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9226068) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL ARNP 9226068) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-23 |