| NPI | 1922159292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GOERSS Director 786-662-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME38171) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL me38171) |
| 207ZC0500X Pathology, Cytopathology (Licence: FL me38171) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL me38171) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2021-09-30 |