| NPI | 1508113564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MURRAY CALLOWAY President/Plastic Surgeon 904-273-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME64362) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |