NPI | 1932477023 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMIR MASAN EBEID President 850-785-0321 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0046120) |
Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL ME0046120) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2011-12-05 |