| NPI | 1902066616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A KHAMVONGSA President 305-595-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 88695) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |