| NPI | 1467640151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUBARIK A SHAH President 561-721-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME89362) |
| Additional Taxonomies | 2086S0129X (Licence: FL ME89362) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-11-26 |