NPI | 1972269793 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE VINCUR Clinical Support Talent Specialist 561-815-2427 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363LG0600X Nurse Practitioner Gerontology | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |