| NPI | 1073836201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEVENS Owner/President 954-752-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME0056275) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |