| NPI | 1437154051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D MOSS Director 954-725-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-08-30 |