| NPI | 1346595253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A. MOODY President 305-509-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: FL ME77163) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |