NPI | 1962828103 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA MIREILLE JACQUES Propriator 954-673-4065 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3082172) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2014-08-29 |