NPI | 1134547482 |
---|---|
Entity Type | Organization |
Authorized Contact | SABIR ALI President 321-676-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL 62108) |
Additional Taxonomies | 208600000X Surgery (Licence: FL 44893) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2014-04-03 |