NPI: 1104442664 · MIRAMAR, FL 33029 · Registered Nurse · NPI assigned 06/22/2020
| Authorized Official | EZEM, MARY (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 06/22/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 121 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00104 | 121 | 40 | $2K |