| NPI | 1447700901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORAMED DESROCHES President 786-290-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 15-364) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |