| NPI | 1407166408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY J. SNYDER Administrator 561-833-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0034767) |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2011-04-12 |