| NPI | 1992150114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKISHA A KINLAW Nurse Practitioner 561-444-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9262040) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: FL ARNP9262040) |
| 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP9262040) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |