| NPI | 1497026793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANSMITH AMBROISE Md 407-290-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2014-05-14 |