| NPI | 1811399983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANTONIETA CARBALLOSA President 305-321-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME59149) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |