| NPI | 1366659146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOURED DAGHISTANI Secretary 305-274-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME54758) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME75180) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME47164) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL ME56516) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |