| NPI | 1033088372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA BURCHHARDT Owner 239-999-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |