| NPI | 1851554455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CR JEANETTE MORALES-DUCRET Owner 561-236-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME0069744) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2009-02-06 |