NPI | 1386386894 |
---|---|
Other Name | KIDS DOC PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2022-04-13 |
Last Update Date | 2022-04-18 |