| 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 |