NPI | 1093039562 |
---|---|
Entity Type | Organization |
Authorized Contact | LIONEL HENRY Owner/Doctor 850-878-5147 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME39184) |
Enumeration Date | 2010-03-26 |
Last Update Date | 2010-03-26 |