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 |