| NPI | 1831836501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M GABER Provider Relations Specialist 786-624-5747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |