| NPI | 1487772257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN STREINER Office Manager 954-437-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-25 |