| NPI | 1376758904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN MAGILEN President 305-466-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-11-12 |