| NPI | 1194456764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ MALDONADO Recovery Specialist 954-217-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |