| NPI | 1285165290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN B HILL Owner 407-447-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9110174) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9110174) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |