| NPI | 1114254919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM S MARCADIS Medical Director 813-878-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0044010) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |