| NPI | 1437250180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVO D. PESTANA President 954-755-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME91351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME34450) |
| 208200000X Plastic Surgery (Licence: FL ME33915) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-07-21 |