| NPI | 1447522107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN R ONEILL Office Manager 727-447-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0034009) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |