| NPI | 1033883574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO CARRENO Manager 305-450-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-09-03 |