| NPI | 1326604885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RODOLFO GARDEN Surgical Assistant Certified Sa C 786-487-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |