NPI | 1003217183 |
---|---|
Entity Type | Organization |
Authorized Contact | ALDO C DONDERO President 727-844-3551 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 3078370) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 1881067460) | |
Enumeration Date | 2014-09-09 |
Last Update Date | 2024-12-30 |