| NPI | 1881026979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WLADIMIR P. LORENTZ Owner 786-501-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2021-05-14 |