| NPI | 1013444603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN HERNANDEZ-TRUJILLO Sole Member 786-646-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |