| NPI | 1356620389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK MCLOUGHLIN Manager 954-978-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9102647) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |