| NPI | 1225472129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENIKA ROMAN Surgical Assistant Certified 407-267-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 13-191) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |