| NPI | 1790231827 |
|---|---|
| Other Name | SPARK PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DONNA LODATO CEO 786-522-9600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-07-13 |