NPI | 1558657130 |
---|---|
Doing Business As | MINOR PLAZA PEDIATRIC AND GENERAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JEAN-WILNER MATHIEU Medical Director 954-779-1667 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0042195) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME0042195) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2012-02-16 |