| NPI | 1376059352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MILLS President 216-406-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106954) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2018-09-17 |