| NPI | 1619128675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MEDRANO ONG Pediatrician/Owner 813-684-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME78831) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |