NPI | 1134300619 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PATRICK MCLOUGHLIN President 954-978-0381 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: FL PA9102647) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2007-11-26 |