| NPI | 1356858518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRANJEET GILL Physician/Owner 239-596-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2023-09-15 |