| NPI | 1023418175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BANKER President 954-227-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL RN1213182) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |