| NPI | 1245692367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLOBODAN JAZAREVIC CEO 772-345-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL me65570) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL me65570) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL me65570) | |
| 2086S0129X (Licence: FL me65570) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL me65570) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |