| NPI | 1194740787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E EDGINGTON Administrator 321-689-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-04-17 |