| NPI | 1164847323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PANIAGUA President 305-972-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00477) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2023-10-28 |