| NPI | 1528459856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T POL-CARBALLO Owner/Doctor 305-820-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME0060604) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |