| NPI | 1114982899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGINI DHARMAPPA Office Manager 954-452-7576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0037416) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0037089) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-05-15 |