NPI | 1811288012 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMERY ESTEVEZ Dir Contracting And Credentialing 954-262-4343 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
1223P0221X Dentist, Pediatric Dentistry | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
133N00000X Nutritionist | |
133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
208000000X Pediatrics | |
225100000X Physical Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2025-06-11 |