| NPI | 1578640181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANO D CIBRAN President 727-526-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL me27935) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-09-15 |