| NPI | 1982586806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDRA RHODES-RESCH Compliance Director 305-762-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |