| NPI | 1386765386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FAVERIO President 239-466-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME73220) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-02-23 |