| NPI | 1669963559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MOURE Owner 786-222-6995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |