| NPI | 1174698609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE STEIDING Practice Adminsitrator 561-968-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME57756) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-07-03 |