| NPI | 1417380031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY PEREZ Office Manager 407-290-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 47450) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL FO 3538305) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |