| NPI | 1356898324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE SCHIFF Manager 561-693-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| 2086S0129X | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |