| NPI | 1902694896 |
|---|---|
| Former Legal Business Name | TMG PEDIATRICS LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA LIZAMA Office Administrator 561-709-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |