| NPI | 1104051978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P HILLSTROM President Owner 941-355-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME54913) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME54913) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |