NPI | 1356699805 |
---|---|
Entity Type | Organization |
Authorized Contact | FARAH KHAN Owner 813-362-1629 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P0744) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2012-08-15 |