| NPI | 1316225030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE HANABERGH President/CEO 305-310-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME 104210) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |