| NPI | 1043712177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WAXMAN Physician /Owner 561-766-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME99916) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-06-16 |