| NPI | 1588636450 |
|---|---|
| Doing Business As | LAKE WORTH PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | NAGARAKERE SHANKARAIAH Administrator 561-964-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME57808) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |