| NPI | 1093864670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH OTERO Owner 561-627-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME0060085) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-08-30 |