| NPI | 1003830282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL B WAGNER President 954-384-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-10-08 |