NPI | 1477834380 |
---|---|
Doing Business As | KIDZ DOC, PA |
Entity Type | Organization |
Authorized Contact | MANUEL VEGA President 305-668-2144 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME54056) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2011-09-06 |