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