| NPI | 1871558973 |
|---|---|
| Doing Business As | MEDICAL VILLAGE EVENING CARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KHALID MANZUR President 321-662-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |