| NPI | 1356494777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MILLER KEYES Physician Assistant Certified 772-398-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: FL PA2081) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-11-20 |