| NPI | 1104928183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUFUS JOSEPH Owner 954-436-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL ME52086) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |