| NPI | 1124434642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAGRACIA BELMONTES Certified Surgical Assistant 561-632-4184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: FL 3725) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |