| NPI | 1346641891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTYN COLMAN President 954-227-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL 153135) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |