NPI | 1497885834 |
---|---|
Former Legal Business Name | GUILLERMO J LLOSA, MD, PA |
Entity Type | Organization |
Authorized Contact | GUILLERMO JUAN LLOSA Owner 305-274-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME 38885) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2009-09-24 |