NPI | 1023327673 |
---|---|
Other Name | PLASTIC SURGERY CENTER, P.A. |
Entity Type | Organization |
Authorized Contact | PATRICK MARK KELLEY President 850-769-8991 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0032802) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2011-07-05 |