| NPI | 1205800638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MELNICK Director 786-624-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME57151) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: FL ME57151) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: FL ME57151) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-08-19 |