| NPI | 1356749006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A BLANCO President 305-554-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME49234) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-11-15 |