| NPI | 1083675169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. GRATTENDICK Vice President 561-626-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| 207ZD0900X Pathology Dermatopathology | |
| 207ZH0000X Pathology Hematology | |
| 207ZP0213X Pathology Pediatric Pathology | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2016-03-23 |