NPI | 1437733425 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA CALDERON RANDAZZO Administrator 954-728-1060 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-05-06 |
Last Update Date | 2024-09-18 |