| NPI | 1033469069 |
|---|---|
| Doing Business As | CHILDREN'S MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HUMERAA QAMAR President 352-369-8690 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-24 |