NPI | 1821759929 |
---|---|
Doing Business As | NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT ALTON ROAD |
Entity Type | Organization |
Authorized Contact | LAURA M GABER Provider Relations Specialist 786-624-5747 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Enumeration Date | 2022-01-02 |
Last Update Date | 2022-01-02 |