| NPI | 1790732360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PALMA Account Manager 813-886-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZN0500X Pathology, Neuropathology | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-01-15 |