| NPI | 1225448921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN PAUL AZZI Owner 561-429-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME117560) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME134770) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2018-08-27 |