| NPI | 1023398641 |
|---|---|
| Doing Business As | FT SMITH PLASTIC SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2012-11-27 |