| NPI | 1083785703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE KURUVILLA Director 561-251-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL me61952) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL me61952) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-09-17 |