NPI | 1518918788 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA YAO Sole Managing Member 850-878-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL L060000034906) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL l06000034906) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2022-07-21 |