| NPI | 1275722753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET NEUSCHATZ Administrator 305-932-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL me54702) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me55002) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2016-02-26 |