| NPI | 1639387525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZALYN AGENORIA PASCHAL-THOMAS Owner 305-758-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME030785) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-10-23 |