| NPI | 1164769444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOURED DAGHISTANI Manager 305-274-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |