| NPI | 1336147347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARK WEINSTOCK Owner/President 727-581-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-21 |