| NPI | 1871714394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD VALENTINO WYNNE President 561-641-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 0055058) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |