| NPI | 1053350025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FRANCE Administrative Director, Rcm 786-624-5876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-10-27 |