| NPI | 1194070268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL DAVID SHUTER President/Owner 561-743-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL me-0056949) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |