| NPI | 1982385183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRIE CARTER Physician Assistant 305-528-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |