| NPI | 1295783454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN CAPDEVILA P 954-987-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-09-11 |