| NPI | 1790996411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A BENGOCHEA Physician 305-446-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME50234) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |