NPI | 1386191039 |
---|---|
Doing Business As | CHILDREN'S SURGICAL ASSOCIATES LTD |
Entity Type | Organization |
Authorized Contact | LINDA C FLOCCO Executive Director 267-425-9538 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2016-09-09 |
Last Update Date | 2024-07-11 |