NPI | 1770827917 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTO A NICODEMO Director 305-264-0124 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9101023) |
Enumeration Date | 2012-11-11 |
Last Update Date | 2012-11-11 |