| NPI | 1700657806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASTON OFMAN Owner 786-838-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-03-25 |