| NPI | 1609326966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. GRATTENDICK CFO 561-626-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-25 |