| NPI | 1457498693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A RAMIREZ Owner Provider 305-670-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME86739) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME86739) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-02-10 |