| NPI | 1730267055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANA DA COSTA GOMEZ President 305-752-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME73650) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-05-12 |