| NPI | 1093834954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA VITALE- VITALE-LEWIS Owner,President 321-698-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME0050929) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-03-27 |