| NPI | 1356694400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE D. SPACK Medical Director, PIC U 321-841-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: FL ARNP 2731952) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |