| NPI | 1467978668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DAVIS Authorized Official 561-402-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-09-23 |