| NPI | 1144462631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO R MOYA Incorporator 910-772-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2015-10-01 |