| NPI | 1114861895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SALGADO Manager 786-627-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-05-15 |