NPI | 1760570600 |
---|---|
Doing Business As | PEDIATRIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LATASIA SCHARI NETTLES Credentialing Coordinator 786-788-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-10-10 |
Last Update Date | 2024-07-25 |