| NPI | 1144546789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG RYBAK Owner/President 786-539-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL osr 674) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 208D00000X General Practice | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL hcc8118) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-09-08 |