| NPI | 1093688582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE SABRINA ANEZ Physician Assistant/ Surgical 954-857-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |