| 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 |