| NPI | 1265763510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE VALDES-RAFULS Doctor 305-273-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL me0062887) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL pax0000707) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp2528362) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-02-12 |