| NPI | 1457763047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LHYVANN FELIPE Billing Office Manager 305-598-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME82415) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |