| NPI | 1417014721 |
|---|---|
| Doing Business As | CHILDREN'S SURGICAL ASSOCIATES, LTD |
| Entity Type | Organization |
| Authorized Contact | LINDA C FLOCCO Executive Director 267-425-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP008911) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-07-11 |