| NPI | 1396095998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO GONZALEZ Owner/AO 561-432-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0063404) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2024-07-08 |