| NPI | 1760555213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALIA TALAVERA President 954-921-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME85186) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-03-31 |