| NPI | 1194384297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ALBERTO VEGA Authorized Member 561-440-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care |
| 2086S0127X Surgery Trauma Surgery | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-08-16 |