| NPI | 1417494873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE NAVARRO Credentialing Specialist 305-661-1515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: FL OS 10324) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |