| NPI | 1134270762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD A. RUBINSTEIN President 941-957-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME37720) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL ME37720) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME37720) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME37720) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: FL ME37720) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: FL ME37720) | |
| 208200000X Plastic Surgery (Licence: FL ME37720) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME37720) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME37720) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |