| NPI | 1336519693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MAYORGA VASQUEZ Doctor/Owner 954-392-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME66599) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |