| NPI | 1437739836 |
|---|---|
| Doing Business As | LCH - PEDIATRIC CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES FORES Credentialing Specialist 239-424-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |