| NPI | 1497936876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE VALLE Owner 305-818-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2014-04-15 |