| NPI | 1447495338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE NUMSSEN President 352-332-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME78807) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME79357) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-19 |