| NPI | 1174058705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT WOOD President 954-227-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL pa3194) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |