| NPI | 1073057311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNANDA SINGH Owner/President 813-892-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME79778) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME73174) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2017-05-01 |