| NPI | 1104128438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CAMPOS Account Manager 954-963-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME26172) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |