| NPI | 1972687556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MONTES Credentialing Manager 305-595-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME0046002) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-12-07 |