| NPI | 1982002473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHODOROW Authorized Official 321-953-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2015-01-02 |