| NPI | 1386890002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E PERITO Owner 305-444-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0060097) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2026-08-18 |