| NPI | 1275842056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ROBERT POLECRITTI Owner 352-610-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-11-10 |