NPI | 1952071581 |
---|---|
Doing Business As | FL052 |
Entity Type | Organization |
Authorized Contact | ALAN OLIVER CEO 786-530-3820 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2021-09-15 |
Last Update Date | 2025-05-12 |