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 |