NPI | 1477808046 |
---|---|
Doing Business As | CENTER FOR PEDIATRIC AND ADOLESCENT MEDICINE |
Entity Type | Organization |
Authorized Contact | DARYL TOL President/CEO 407-303-1531 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2012-07-19 |
Last Update Date | 2015-11-24 |