| NPI | 1053598409 |
|---|---|
| Doing Business As | NEW IMAGE COSMETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA D. JACOBSON CEO 954-424-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |