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 |