NPI | 1235324435 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY N BAILEY President 305-558-9522 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9101559) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2007-09-11 |