| NPI | 1487731931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA MANTECON MATEOS Physician 321-254-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL ME59415) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-01-04 |