| NPI | 1457129496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D MOSS COO 954-725-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2025-05-16 |