| NPI | 1851942825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIADNA BALAGUER Registered Agent 954-743-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-23 |