NPI | 1487037313 |
---|---|
Entity Type | Organization |
Authorized Contact | AZIN STEADMAN Physician Assistant 561-406-2401 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107441) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2015-07-09 |