| NPI | 1386030443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JACOB BROWN Owner 850-500-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME 122557) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-07-31 |