| NPI | 1366861395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRINE T ROCA Owner/Medical Director 888-414-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |