| NPI | 1922097047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE STUMBO-OSHEA Office Manager 561-844-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME51289) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 800004117) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-06-28 |