| NPI | 1801821319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP COLAIZZO President 561-575-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-10-22 |