| NPI | 1982426714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI PATRICIA LATTIBEAUDIERE Owner/Sole Provider 954-487-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |