| NPI | 1407013931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT REID Owner 954-989-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL ME0074878) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2017-10-24 |