| NPI | 1841493566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVELICE ANTONIA VILLAMAN-BENCOSME President 954-392-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME64482) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |