| NPI | 1164884235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BERT Interim CFO 954-847-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-10-14 |