| NPI | 1245762269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2019-09-17 |