| NPI | 1104946730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS M. REDDY Owner 561-655-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME22502) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-01-10 |