| NPI | 1073794178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANDRES MARTINEZ NODA Doctor/President 305-273-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL 0S0006254) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |