| NPI | 1659389948 |
|---|---|
| Doing Business As | MACKOUL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DAVID MACKOUL President 239-573-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-11-08 |