| NPI | 1073064382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR DESROSIERS C.E.O. 305-403-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME110935) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: FL ME110935) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3822) | |
| 363AS0400X Physician Assistant Surgical (Licence: FL PA9108751) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |