| 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 |