NPI | 1144553157 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN C FLEITES Medical Doctor 305-856-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME70014) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2020-02-27 |