| NPI | 1407057805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MONSUL Owner 941-870-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL me86808) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-09-20 |