| NPI | 1184242190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDHIRA Y PENA President 954-398-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-12-12 |