| NPI | 1124168356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLA A PACHECO Physician/ President 305-854-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME83182) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-08-03 |