| NPI | 1114098753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY NICHOLAS DARDANO Manager 561-361-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL OS7441) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |